48 year old Chen (a pseudonym) a few months ago, I always feel no effort, finger flexibility is not good. More than 2 months since the beginning of the time, not good to eat chopsticks, walking instability, easy to forget things, often aphasia…… Find General Hospital of China Aviation to find a professor Han Hongyan, director of the Department of neurosurgery. After head MRI and magnetic resonance angiography, Ms. Chen was diagnosed as moyamoya disease, cerebral infarction.
professor Han Hongyan said, according to the study of clinical pathology and immunology and laboratory, moyamoya disease is a cerebral vascular occlusive disease, because present many dense stacks of small vessels in the base of the brain cerebral angiography, like smoke when the smoke, named "moyamoya disease, its pathogenesis may react with genes or the abnormal cerebral vasculitis. He pointed out that the common people of moyamoya disease harm is characterized by repeated occurrence of cerebral ischemia, transient paralysis or weak, mostly paralyzed on one side, there are also some patients with persistent paralysis, aphasia, coma and cerebral hemorrhage.
Chen diagnosed, Professor Han Hongyan fully consider the wishes of their treatment, past medical history and physical condition, the development of a vascular bypass + multi factor application of a new type of vascular bypass surgery program.
Professor Han Hongyan, Professor
, said that a new type of bypass surgery combined with vascular bypass and multiple factors was a new type of combined bypass surgery performed by the Hokkaido University hospital in japan. Unlike previous surgical methods, this operation will bypass and sticking with, not only can improve the blood supply to the brain immediately after surgery, but the surgery to expand the scope of the anterior cerebral artery blood supply area, it can not only improve the arterial blood flow in the brain, can improve the blood supply area of the anterior cerebral artery, to smoke the improvement of patient intelligence has an important role, is one of the methods for the treatment of moyamoya disease the best curative effect.
is the difficulty of operation: first, vascular bypass is difficult, because the brain vascular diameter thinning (moyamoya disease can be up to 0.5 mm diameter), wall thinning (Bo Ru Chan Yi), crisp texture, so the bypass is extremely difficult, the slightest mistake is likely to graft failure; secondly, because the blood vessels are very thin. To keep the bypass anastomotic patency also need to have superb technology and rich experience; third, blood pressure control was difficult, smoke the patient’s vascular disease, the fluctuation of blood pressure in poor tolerance, the middle of surgery blood pressure fluctuation is likely to lead to cerebral hemorrhage or cerebral infarction, resulting in serious consequences. According to our own experience, not only make the patency rate of 100%, and strictly control the operation of blood pressure in a stable state, the operation risk control at very low level.
after adequate preoperative preparation, Professor Han Hongyan as scheduled for surgery. During the operation, 16 patients were sutured to the vascular anastomosis, which was the largest number of the suture needle of the cerebrovascular disease, and the results showed that more than 12 stitches could improve the patency rate;